STEPHANIE R GUSTAVE

HERRIN, IL
NPI1821058066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  178002940)
Enumeration Date2006-03-23
Last Update Date2007-07-08
Business Address
-- STEPHANIE R GUSTAVE LPC, AMFT
109 LOU ANN DR
HERRIN, IL 62948-3733
Phone number: 618-988-1330
Mailing Address
-- STEPHANIE R GUSTAVE LPC, AMFT
573 BRUSH HILL RD
CARBONDALE, IL 62901-5731
Phone number: 618-529-4599